Provide the surgical technique to be used and the number of levels involved and. Morristown, nj artificial disc replacement surgery was first developed in europe in the mid to late 1980s as an alternative to spinal fusion. Prodiscc cervical disc replacement jeffrey goldstein. Unlike fusion surgery, which causes the vertebrae above and below the problem disc to grow together into a single bone, the artificial disc preserves spine motion at that level. The prodisc l total disc replacement is a ball and socket implant consisting of two metal endplates and one plastic inlay. Ide study on spinal arthroplasty with the prodiscc device versus anterior cer vical discectomy and fusion. Results at 24 months from the prospective, randomized, multicenter investigational device exemption trial of prodiscc versus anterior cervical discectomy and fusion with 4year followup and continued access patients, 44.
Cl mitchell alumni otto aufranc alumni new england hospital alumni henry ford hospital alumni scientific exhibits. I want to learn more about artificial disc replacement surgery. Cervical artificial disc extrusion after a paragliding. It gives you the essential details of preoperative planning. Prodiscc vivo technique guide synthes 1 table of contents introduction surgical technique product information bibliography prodiscc vivo 2 kinematics 3 intended use, indications and contraindications 4 surgical technique 5 multilevel cases 14 removal procedure 15 implants 17 instruments 19 precleaning instructions 26 bibliography 28 image intensi. During the total disc replacement surgery, you will be under general anesthesia.
The prodiscl is a ball and socket design with a semiconstrained biomechanical concept implanted to replace the intervertebral disc. The authors report a case of anterior extrusion of a c4c5 prodiscc. Safety and efficacy study comparing prodiscc to acdf. Safety and efficacy study comparing prodiscc to acdf surgery. Please refer to the prodisctmc total disc replacement technique guide for step by step instructions on the required surgical. Early results after prodiscc cervical disc replacement in. Working with leading spine surgeons from around the world, the prodisc l instrumentation and surgical technique has been refined to facilitate safe and reproducible implantation through a midline, miniopen anterior approach to the lumbar spine. No spontaneous fusions at the level of surgery or at adjacent levels were noted. All of this is reflected in this excellent, unique textbook wherein are explained in detail the surgical procedures, and also shown with rich graphics.
Surgical outcomes and blogs discuss c56 prodisc c surgery blog in the main forums forums. The pilot study was successful, although it has yet. Have been recommended for disc replacement at l5s1 and was told theyd use a synthes spine prodiscc. Meticulous attention must be paid to the surgical technique to maximize the chances of a good result. Mobic is different from other cervical discs because of its bone sparing technique, which eliminates the need for bone chiseling and drilling, and optimizes it for twolevel applications. Results at 24 months from the prospective, randomized, multicenter investigational device exemption trial of prodiscc versus anterior cervical discectomy and. Rudolf bertagnoli helped to develop pro disc and its surgical technique in europe and has taught more than 2,500 surgeons how to perform the procedure. This is the first detailed report of anterior extrusion of a prodisc c artificial disc. Critical to cda is meticulous operative technique including implant positioning and hemostasis. Jun 21, 2016 the prodisc c is a device that has two metal bearing surfaces and a sandwiched polymer plastic bearing. The authors report a case of anterior extrusion of a c4c5 prodiscc depuy. This past year the mobic disc manufactured by ldr was approved in the.
Nov 18, 2015 the prodisc c total disc replacement was compared with singlelevel anterior cervical discectomy and fusion in a new journal of bone and joint surgery article there were 209 patients included in the study. Patient positioning should allow for circumferential use of the carm at the operative level. This special version of the prodisc l is for cases, where the patient has vascular issues, which would prevent or make risky a direct ventral approach. Jan 01, 2011 it not only highlights the newest devices, but also gives you the clinical guidelines you need to choose and apply the best implant for any surgical situation. Spine solutions a synthes company prodiscc prodiscl. Cervical artificial disc extrusion after a paragliding accident. Rudolf bertagnoli helped to develop pro disc and its surgical technique in. Along with an allinclusive list of the spinal instruments available today, the book offers direct comparisons of each system to help you make an informed and confident selection. Any operating table that allows supine positioning and fluoroscopy of the neck can be used. Prodiscc versus anterior cervical discectomy and fusion. Along with an allinclusive list of the spinal instruments available today, the book offers direct comparisons of each system to. Prodiscc versus anterior cervical discectomy and fusion by. The prodisc l total disc replacement is designed to replace your unhealthy disc. The prodisctmc total disc replacement is implanted via an open anterior approach.
Can anyone provide me with a list of surgeons trained with the prodisc c in the united states. Jun 08, 2015 removal of the arthroplasty device itself can present a multitude of challenges. Thus, tdr may prevent subsequent adjacent disc degeneration. One major complication of this procedure is adjacent segment degeneration. In the study, only the surgical procedure recommended by the implant manufacturer synthes, usa was used and all operations were performed by a team with the same leading surgeon. Prodisc c vivo surgical technique depuy synthes 1 surgical technique 1 prerequisites and patient positioning insertion of a prodisc c vivo is dependent on the use of anteriorposterior ap and lateral fl uoroscopy throughout the procedure.
Safety and efficacy study comparing prodisc c to acdf surgery to treat scdd the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. This special version of the prodiscl is for cases, where the patient has vascular issues, which would prevent or make risky a direct ventral approach. Patients receiving the prodisctmc total disc replacement should have failed at least six weeks of nonoperative treatment prior to implantation of the prodisctmc total disc. The rates of secondary surgical procedures were significantly lower in mobic, prestige, prodiscc, securec group than in acdf group. This is the first detailed report of anterior extrusion of a prodiscc artificial disc. Cervical artificial disc extrusion after a paragliding accident ncbi. I found basic surgical techniques so helpful that ive recommended it highly and gifted it to other med students. Prodisc c total disc replacement surgery is an alternative to anterior cervical discectomy acdf. The plastic inlay snaplocks into the lower endplate and provides the ball that rides in the socket of the upper endplate that is intended to.
Revision surgeries following artificial disc replacement of cervical. This webpage is under construction meanwhile, please visit the synthes group website at thank you for your patience. In early 1990, the first patient was implanted with the prodisc total disc replacement in the lumbar spine. Cervical total disc replacement tdr is intended to address discogenic pain, restore disc height, and preserve functional motion between two vertebral bodies in patients with symptomatic cervical disc disease.
Artificial disc replacement what you should know about this. Furthermore, techniques for removal of the prodiscc device have not been described previously. It not only highlights the newest devices, but also the clinical guidelines needed to choose and apply the best implant for any surgical situation. Prodiscc cervical artificial disc replacement acdf. It not only highlights the newest devices, but also gives you the clinical guidelines you need to choose and apply the best. The prodiscl total disc replacement is designed to replace your unhealthy disc. The surgeon will make a small incision in the front of your neck to get to your unhealthy disc. Artificial disc replacement adr, or total disc replacement tdr, is a type of arthroplasty. Are controversial issues in cervical total disc replacement. Tdr is still a relatively new technique that has been less studied than acdf.
Artificial cervical disc replacement prodiscc birmingham. It seems like this is a fairly new technique, but are there any updates i should know about. Prodisc c total disc replacement surgery is an alternative to anterior cervical discectomy and fusion acdf, which is the surgery that is most commonly done for your condition. Nov 21, 2011 results at 24 months from the prospective, randomized, multicenter investigational device exemption trial of prodisc c versus anterior cervical discectomy and fusion with 4year followup and. The good news is that this disc that is put into place through prodiscc. By your description, the polymer intermediate bearing surface subluxed or dislocated into the spinal canal and compressed the cord causing myelopathy. Sfw893r the wing nuts allow the distractors to be used with both hands. State of michigan, 1987 surgical techniques in primary and revision hip surgery. After anesthesia is administered, the surgeon creates a small incision in the neck to access the cervical spine.
Artificial disc replacement what you should know about. Prodisc c is intended to replace a diseased andor degenerated intervertebral disc of the cervical spine in patients with symptomatic cervical disc ball and socket principle. Patient positioning should allow for circumferential use of the c arm at the operative level. The prodiscl total disc replacement is a ball and socket implant consisting of two metal endplates and one plastic inlay. The surgical technique used to implant a cervical artificial disc is similar. Working with leading spine surgeons from around the world, the prodisc c instrumentation and surgical technique has been refined to facilitate safe and reproducible implantation through a standard transverse approach to the anterior cervical spine. Results of the prospective, randomized, controlled multicenter food and drug administration investigational device exemption study of the prodisc c total disc replacement versus anterior discectomy and fusion for the treatment of 1level symptomatic cervical disc disease. Bertagnoli prospine, straubing, germany introduction. It is a surgical procedure in which degenerated intervertebral discs in the.
Patients, who have had prior abdominal surgery with consequential scar tissue, may benefit from this surgical technique and device, because scar tissue can compromise exiting structures. Keeping the drill at full power, sweep the milling bit to wards the trial implant until it reaches the inner limit of the milling guide, then away from the trial implant to the full outer limit. An instructional guide to 55 knee procedures this book is a concise instructional guide to surgical treatment of common knee injuries. Zigler md is an orthopaedic spine surgeon at the texas back institute and is. I was reading on a class action lawsuit, was just curious to see if anyone else had been given the pro disc c and what the result was. Prodisctmc total disc replacement package insert 12122007 package insert page 1 of 18 39. Durability of cervical disc arthroplasties and its influence factors ncbi. Along with an allinclusive list of the spinal instruments available today, the book offers direct comparisons of each system to help make an informed and confident selection. Find a back doctor or surgeon at texas back institute. The surgical approach was consistent throughout the study. Modular intervertebral disc prosthesis designed for restoring disc height and segmental motion in the cervical spine. In 2002, the prodiscc implant was developed based on the same design. Analysis of preliminary results involving prodiscc arthroplasty indicates significant. Operative technique a standard anterior approach to the cervical spine is performed.
Prodiscl surgical technique depuy synthes 19 spreader forceps, straight art. Can anyone provide me with a list of surgeons trained with the prodiscc in the united states. Spivak is an orthopedic surgeon in new york, new york and is affiliated with one hospital. By 48 months, 3 of prodiscc tdr patients and 12 of acdf patients had. Better understanding of biomechanics, improvements in technology, and new knowledge of the disease process in the spine have led to rapid advances in spinal instrumentation. The prodisc c artificial disc is a twopiece device that functions as a.
Mobic is the first and only cervical disc replacement device to receive fda approval to treat both onelevel and twolevel cervical disc disease. Cervical disc arthroplasty cda has been proposed as an alternative to acdf and as a means to reduce asd. Artificial cervical disc replacement prodisc c birmingham, al spine and neurosurgery neurosurgical associates, p. This surgical procedure replaces a damaged or diseased disc in the cervical spine with an artificial disc that restores the natural alignment of the spine. Reportedly, 2 weeks after surgery, the patient began to experience pain in the arm, numbness in the fingers and hand, neck pain, weight loss and mobility issues. Tourniersurgical technique of lumbar disc arthroplasty. Safety and efficacy study comparing prodiscc to acdf surgery to treat scdd the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Artificial disc replacement of cervical spine cadr has been developed to. The recent fda approval of prodiscl total disc replacement provides us spine surgeons a clinically proven alternative to fusion surgery. With the exception of one patient operated on two segments, the patients were treated by prodisc c ctdr at one level. The prodiscc is a twopiece semiconstrained artificial cervical disc. Ninety specialists in cervical spine surgery from all around the united states and four other countries austria, canada, japan, and taiwan authored the 41 chapters of this large book. In both the acdf and the prodisc c total disc replacement procedures, the unhealthy disc is removed and the height at that level of your spine is restored to relieve pressure on the nerves andor spinal cord.
Prodiscc vivo surgical technique depuy synthes 1 surgical technique 1 prerequisites and patient positioning insertion of a prodiscc vivo is dependent on the use of anteriorposterior ap and lateral fl uoroscopy throughout the procedure. In general, patients were selected for degenerative disc disease at one level between c3 to c7 causing inttactable neck and or arm pain. Patients will be assigned a treatment, either prodisc or spinal fusion surgery, according to a blocked randomization schedule. There will be separate study arms for one and two level patients.
The surgeon will insert the prodiscc total disc replacement implant into the disc space. Department of orthopedic surgery, david geffen school of medicine. Discrepancy between cervical disc prostheses and anatomical. B the prodiscc total disc replacement is intended to be used in skeletally mature patients people who have stopped growing for reconstruction of the disc from c3c7 following removal of the disc at one level for intractable symptomatic cervical disc disease scdd. The authors concluded that hs is a novel surgical approach to. Apr 10, 2010 the good news is that this disc that is put into place through prodisc c. Anterior cervical discectomy and fusion acdf has long been considered the gold standard for treating myelopathy and radiculopathy due to disk degeneration. This book is your complete guide to all contemporary forms of spinal implant systems. In the synthes prodiscc removal technique guide manual, the recommendations are removal of the implant by disassembly of the components. Preoperative workup, surgical technique and interest of navigation. I was under the impression that the pro discc is only approved for cervical disc replacement. Total disc replacement surgery synthes prodiscc surgical procedure replaces a damaged or diseased disc in the cervical spine with an artificial disc to restore the natural alignment of the spine. There is no consensus in the literature on the techniques for removal of the artificial discs from the cervical spine. Listing a study does not mean it has been evaluated by the u.
The correct indication and appropriate surgical technique are most often recommended, and are considered also by the authors to be most important. Careful patient selection and meticulous surgical techniques are important to avoid. My skill came not from any intrinsic abilities of my own but rather from knowing how things were supposed to be done and what to pay attention to, which this book taught me. Prodisc lumbar artificial disc replacement adr surgery. Total disc replacement surgery synthes prodisc c surgical procedure replaces a damaged or diseased disc in the cervical spine with an artificial disc to restore the natural alignment of the spine. Furthermore, techniques for removal of the prodisc c device have not been described previously. Apr 18, 2018 all of this is reflected in this excellent, unique textbook wherein are explained in detail the surgical procedures, and also shown with rich graphics. Here are 33 spine surgeons who perform artificial disc replacement procedures. My research postings on dozens of spine pain treatments. Early results after prodisc c cervical disc replacement. The prodiscc total disc replacement implant is composed of top and bottom metal cobalt chromium molybdenum endplates and a plastic inlay ultrahigh molecular weight.
Prodiscc made by synthes west chester, pennsylvania has a ball and socket. Early results after prodiscc cervical disc replacement. Surgical outcomes and blogs discuss c56 prodiscc surgery blog in the main forums forums. Modular intervertebral disc prosthesis for restoring disc height and segmental motion in the cervical spine. Dec 04, 2008 the spine institute in california has done more prodisc artificial disc replacement adr surgeries than any other institution in the us. Zigler md is an orthopaedic spine surgeon at the texas back institute and is codirector of the center for disc replacement. The surgical procedure has a minimal learning curve and a low complication rate, in treatment of low back pain.
Table 251 lists the eligibility criteria for the u. Prodiscc total disc replacement surgery is an alternative to anterior cervical discectomy and fusion acdf, which is the surgery that is most commonly done for your condition. The recent fda approval of prodisc l total disc replacement provides us spine surgeons a clinically proven alternative to fusion surgery. In october 2001, as part of another fda trial, jack zigler, m.
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